Inefficiencyin health care routine includes lack of adequate delegation betweennursing leadership and staff. Practitioners perform a large andmajority of tasks within health care institution while overlookingthe general abilities of other medical staff. As a result of this,the efficiency within the hospital becomes affected (Freudenheim,2002). Another routine in the healthcare that is inefficient is thelack of coordination between nursing leaders and the staff. That is,due to lack of open communication between nursing practitioners. Theaspect affects the medical service and product provision.

Participantdecision making and autonomy is the greatest aspect that enhances thecentral goals within the nursing profession. It enables healingpractitioners to take charge of their practice conditions. An exampleof participative decision-making in the nursing practice is about theneed to utilize the treatment resources appropriately. It is done onthe basis to improve the quality of nursing working conditions aswell as the patient`s outcome and control costs.


Theconcept of leadership and management differ in the sense that while aleader focuses on motivating, influencing and empowering others, amanager is charged with the responsibility of assuming control anddecision-making process (Weston, 2010). The goals of management andleadership can sometimes overlap due to lack of proper nursingcommunication and interpersonal skills. Through this, it becomesdifficult for both leaders and managers to correlate efficientlydespite sharing a similar goal.

Asa nurse leader, I believe that I can expand my influence to createchange by taking advantage of the overlap between the management andleadership. That is, through envisioning the future towards aproductive and efficient unit that fosters satisfied personnel withinthe institutions working environment.


Freudenheim,M., (2002). Study Finds Inefficiency in Health Care. Retrieved from

Weston,M., (2010). Strategies for Enhancing Autonomy and Control OverNursing Practice. Retrieved from